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題名 | 膝關節屈曲性攣縮之牽引治療 |
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作者 | 李麗香; 唐建生; 曾林波; | 書刊名 | 中華民國物理治療學會雜誌 |
卷期 | 13 1988.09[民77.09] |
頁次 | 頁54-58 |
分類號 | 416.61 |
關鍵詞 | 屈曲性; 治療; 牽引; 膝關節; 攣縮; |
語文 | 中文(Chinese) |
中文摘要 | 關節固定(immobilization)長久時間後,引起的攣縮(contracture)是一般骨 科病人常見後遺症。低重量及長時間伸長(low-load prolonged stretch)已多次被證實 比短時間及高重量伸展(high-load brief stretch)效果好。長時間伸展可改變組織黏 性,使組織產生最大殘餘伸長(residual elongation)和最小傷害。熱與伸展合併產生 的永久性伸長比熱或伸展單獨使用好得多。本文報告利用Light,K.E等人所改良 之Bucks skin traction,並合併水療、肌力訓練、行走訓練和關節調整術(Joint Mbilization),治療因韌帶傷害或骨折後手術治療後仍合併有膝關節屈曲性攣縮 (Flexion contracure)之7位病患,所得之結果。膝伸長角度對步態影響頗巨,即使 在些微的伸直為度限制,仍會影響行走姿勢,所以儘可能達到正常值,本文所報 告為沿著脛骨方向之牽引方式,不但使結締組織拉長外,尚包括膝關節之開展 (distraction),因而增加了股一脛關節面活動(femorotibial joint play),是一種操作簡 單,病患不感覺疼痛,且效果相當良好之方法。 |
英文摘要 | Contraction after a long time immobilization is a common sequale of the orthopedicpatients. Low-load prolonged stretch has beenproved a better method than high-load briefstretch. Prolonged stretch could change viscosityof the tissue and produce greater residualelongation. The study uses Light K.E. et almodified Buck's skin traction, combining hydrotherapy, muscle strengthing, ambulation trainingand Joint mobilization to treat 7 patients whohave knee flexion contractures after operationsfor ligament injuries or bony fractures. All ofthem have reached nearly normal range of extension. Angle of extension of the knee joint is verycritical for gait pattern. Even limitation of fewterminal degrees will influence posture of walking. So we prefer the knee extension as normalas possible. The direction of the traction usedin the study is along with that of the tibia. Sothe effect is distraction of the knee joint toincrease the femorotibial Joint play in additionto elongation of the connective tissue. Thetraction is simple, non-stressful, and the resultis excellent. |
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